Percutaneous replacement jejunostomy after esophagogastrectomy

A surgically placed jejunostomy tube is a safe and effective means of delivering nutritional support for the postesophagogastrectomy patient. We have previously described a method that permits percutaneous replacement of surgically placed jejunostomy feeding tubes, and now present our results with t...

Full description

Saved in:
Bibliographic Details
Published in:Journal of gastrointestinal surgery 2000-07, Vol.4 (4), p.407-410
Main Authors: Brock, Malcolm V., Venbrux, Anthony C., Heitmiller, Richard F.
Format: Article
Language:English
Subjects:
Aged
Anorexia - therapy
Barrett Esophagus - surgery
Carcinoma - complications
Carcinoma - surgery
Deglutition Disorders - therapy
Dehydration - therapy
Eating
Enteral Nutrition - instrumentation
Enteral Nutrition - methods
Esophageal Neoplasms - complications
Esophageal Neoplasms - surgery
Esophagectomy
feeding tube
Female
Gastrectomy
Humans
Intubation, Gastrointestinal - instrumentation
Intubation, Gastrointestinal - methods
jejunostomy
Jejunostomy - instrumentation
Jejunostomy - methods
Life support systems
Male
Middle Aged
Neoplasm Recurrence, Local - complications
Ostomy
Retreatment
Right to die
Safety
Time Factors
Treatment Outcome
Weight Loss
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A surgically placed jejunostomy tube is a safe and effective means of delivering nutritional support for the postesophagogastrectomy patient. We have previously described a method that permits percutaneous replacement of surgically placed jejunostomy feeding tubes, and now present our results with the use of this technique in 350 consecutive esophagogastrectomy patients. Replacement jejunostomy was required in 17 patients (4.9%). All patients had successful percutaneous jejunostomy replacement. There were no procedural complications or deaths. The timing of feeding tube replacement following esophagogastrectomy was predictive of the indication. Before 16 weeks, the indication for feeding tube replacement was intubation and inability to eat (1 patient) or anorexia with weight loss and dehydration (7 patients). At or after 16 weeks, the indications for feeding tube replacement were all related to symptoms resulting from recurrent carcinoma. We conclude that the technique of percutaneous jejunostomy allows the surgeon tremendous flexibility in the management of the postesophagogastrectomy patient as it preserves the advantages of an adjuvant surgically placed feeding tube over the lifetime of the patient. The technique is safe, and the success rate is excellent.
ISSN:1091-255X
1873-4626
DOI:10.1016/S1091-255X(00)80020-7